Recommendations for Physiotherapy in Breast and Gynecological Cancer during COVID-19 Pandemic: Literature Review

• Autor(a) principal: Pinto e Silva, Marcela Ponzio
• Data de Publicação: 2021
• Outros Autores: Sunemi, Mariana Maia de Oliveira, Fretta, Tatiana de Bem, Fernandes, Ana Carolina Nociti Lopes, Mascarenhas, Lilian Rose de Souza, Dias, Mirella, Bergmann, Anke, Ferreira, Cristine Homsi Jorge, Amaral, Maria Teresa Pace do
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1510
• topic: Infecções por Coronavirus; Modalidades de Fisioterapia; Estratégias de eSaúde; Neoplasias da Mama; Neoplasias dos Genitais Femininos; Coronavirus Infections; Physical Therapy Modalities; eHealth Strategies; Breast Neoplasms; Genital Neoplasms, Female; Infecciones por Coronavirus; Modalidades de Fisioterapia; Estrategias de eSalud; Neoplasias de la Mama; Neoplasias de los Genitales Femeninos

Introduction: Considering COVID-19 pandemic, physiotherapeutic care for breast and gynecological cancer has the challenge of continuing or beginning the treatment, preventing or treating complications. Objective: To offer guidance about physiotherapy for breast and gynecological cancer during and after the COVID-19 pandemic. Method: Descriptive study produced after a public consultation about the theme and based on literature review and opinions of a group of experts. To classify the strength of the recommendations of the outcomes included, the GRADE system was used. Results: 82 Brazilian physiotherapists responded the online survey. Most of the professionals (36.6%) reported they needed information about the use of personal protective equipment and its hygiene, 18.3%, control and prevention of lymphedema, bandaging and skin care and 17.1%, pelvic floor dysfunction. The analysis of the public consultation, literature review and expert’s consensus resulted in recommendations related to the impact of the COVID-19 pandemic over the care to women undergoing breast or gynecological cancer treatment and on physiotherapy follow-up; on telephysiotherapy follow-up of the most prevalent complications; on women in palliative care and safety after resuming in-person consultation. Aspects of the decision making in relation to the format of the sessions were discussed and the criteria to return to in-person routine. Conclusion: This manuscript recommends the continuation of the physiotherapy services during and after the COVID-19 pandemic highlighting the educative and self-applied components of the sessions, prioritizing a physical activity plan and specific exercises to contribute for better quality of life of the women.